The Department of Emergency Medicine at Denver Health Medical Center has a long-standing history of performing collaborative research. This site was developed to highlight the components of our research program, one that includes a breadth of investigators, content areas, and expertise.
Over the past several years, our program has grown to include nearly $10.5 million dollars in external research and programmatic funding and the development of intra- and inter-departmental collaborations to further support our mission.
In addition to details about our investigators and the products of our program, you will find details of the “Denver Emergency Department HIV Testing Research Consortium” embedded in this site. This group began in 2004 and has grown to support health services research in the area of emergency department-based HIV testing.
Our research program is also strongly rooted in training the next generation of scientists in emergency medicine. We strive to do this across several levels, including premedical undergraduates (as part of the “Applied Clinical Research” course developed in conjunction with the University of Colorado Boulder), residents in emergency medicine (as part of an integrated “Evidence-Based Emergency Medicine” curriculum to teach research methods), fellows (including a rigorous two-year clinical research fellowship), and faculty (through extensive collaboration and mentorship).
With this in mind, please take a look around and don’t hesitate to let us know what you think.
We hope you enjoy!
Jason Haukoos, MD, MSc
Director of Research
Department of Emergency Medicine
Denver Health Medical Center
Drs. Richards, Trent, and French are authors on a recently accepted abstract titled "Validation of a Low-Cost Optic Nerve Sheath Phantom: An Educational Tool" which will be presented at the 2016 American Institute of Ultrasound in Medicine's Scientific Program Convention in March, 2016.
Dr. Haukoos is an author on a recently accepted poster titled "Comparison of Self-Reported HIV Risk Information Obtained by Triage Nurse Versus Comprehensive ED Interview" which will be presented at the Society for Academic Emergency Medicine Annual Meeting in May, 2016.
Congratulations to Dr. Jason Haukoos, a co-author on a manuscript titled "Will neuroimaging reveal a severe intracranial injury in this patient with minor head trauma?" recently accepted for publication in JAMA and a manuscript titled, "It's in how you present the question: perspectives on screening older drivers in primary care settings?" in The Gerontologist.
The manuscript titled, "Comparision of PECARN, CATCH, and CHALICE Rules for Children With Minor Head Injury: A Prospective Cohort Study", authored by Dr. Jason Haukoos, Dr. Katie Bakes, Dr. Jasmeet Dhaliwal (an EM resident), and Dr. Joshua Easter (a former faculty member) is one of the "top 25" downloads for Annals of Emergency Medicine for January - March of 2015. The abstract is available here: http://www.ncbi.nlm.nih.gov/pubmed/24635987.
Dr. Tracy Cushing is an author on a recently accepted publication, "Intraocular Pressure is not Associated with Acute Mountain Sickness" in High Altitude Medicine and Biology.
Dr. David Richards and Dr. Jennie Buchanan are authors on a recently accepted publication, "Tea Tree Oil Ingestion Treated with Surfactant" in Pediatric Emergency Care.
Congratulations to Dr. Stacy Trent who was awarded the AAWEP Rising Star Award in August, 2015. This award is given out annually to a a junior female emergency medicine attending who has demonstrated exceptional leadership in Emergency Medicine through advocacy, administration, education or research.
Dr. Stacy Trent is an author on a recently accepted publication, "Underutilization of Guidline-Recommended Chronic Asthma Management in Children Hospitalized to the Intensive Care Unit: A multicenter Observational Study" in Annals of Allergy and Asthma Immunology.
Congratulations to Dr. Stacy Trent who was recently awarded a Career Development Award from the Emergency Medicine Foundation for her grant titled "Adherence to Clinical Practice Guidelines and the Impact of Audit and Feedback".
Congratulations to Dr. Jamie Dhaliwal who was recently awarded the Emergency Medicine Foundation Critical Care Resident Research Grant for his grant titled, "Characteristics of Emergency Department Patients with Short Intensive Care Unit Admission for Diabetic Ketoacidosis: Implications for Resourse Utilization".
Dr. Janetta Iwanicki is an author on a recently accepted publication in Annals of Emergency Medicine, entitled, "Opioid Prescribing in a Cross Section of US Emergency Departments.
Congratulations to Dr. Dowin Boatright; his abstract titled, "Improving the Attractiveness of an Emergency Medicine Residency to Underrepresented Minorities Through the Implementation of the Council of Emergency Medicine Residency Directors (CORD) Diversity Recruitment Strategies", was selected for the "Best of the Best" oral presentation and rated "Top Research" abstract at CORD this past week, April 13th - 16th.
Congratulations to Dr. Cory Siebe for winning the Semi-Final Region 6 Clinical Pathologic Case Conference Competition at CORD this past week, April 13th - 16th. We will be rooting for him during the Finals Competition.
Dr. Geenie Roosevelt is an author on a recently accepted publication in Pediatrics titled, "When is it Safe to Forgo Abdominal CT Scan in Blunt Injured Children?".
Congratulations to Dr. Stacy Trent who was recently awarded the Department of Emergency Medicine Pilot Grant Award in the amount of $20,000 to conduct a project titled, "Cost-Effectiveness of Provider Adherence to Clinical Practice Guidelines in the Emergency Department".
Dr. Jody Vogel, Dr. Jason Haukoos, and Dr. John Kendall recently had a manuscript accepted for publication in Critical Care Medicine titled," Is Long Axis View Superior to short Axis View in Ultrasound-Guided Central Venous Catherization?"
Dr. Jason Haukoos recently had a manuscript accepted for publication in the Journal of Acquired Immune Deficiency Syndromes titled, "Validation of a Quantitative HIV Risk Prediction Tool Using a National HIV Testing Cohort" and
Dr. Maria Moreira, Dr. Katie Bakes, and Dr. Jason Haukoos recently had a manuscript accepted for publication in Annals of Emergency Medicine titled, "Color-Coded Prefilled Medication Syringes Decrease Time to Delivery and Dosing Error in Simulated Emergency Department Pediatric Resuscitations".
Congratulations to Dr. Avery MacKenzie, a 3rd Year Emergency Medicine Resident, who was recently awarded a $4,000 Training Award for the Rural EMS Directorship Elective.
Dr. Jason Haukoos is an author on a recently accepted publication, "Acute HIV Infection and Implications of Fourth-Generation HIV Screening in Emergency Departments" in Annals of Emergency Medicine.
Enrollment for The HIV TESTED Trial finished at Denver Health on January 26th, 2015.
The manuscript titled, "Comparision of PECARN, CATCH, and CHALICE Rules for Children With Minor Head Injury: A Prospective Cohort Study", authored by Dr. Jason Haukoos, Dr. Katie Bakes, Dr. Jasmeet Dhaliwal (an EM resident), and Dr. Joshua Easter (a former faculty member) is one of the "top 25" downloads for Annals of Emergency Medicine for July - September of 2014. The abstract is available here: http://www.ncbi.nlm.nih.gov/pubmed/24635987.
Dr. Jason Haukoos is a co-author on a recently accepted manuscript in Annals of Emergency Medicine titled, "Barriers to Calling 911 and Learning and Performing Cardiopulmonary Resuscitation for Residents of Primarily Latino, High-Risk Neighborhoods in Denver, Colorado".
Dr. Geenie Roosevelt is an author on a recently accepted publication, "Making a Case for Pringles Flavored Carrots" in Pediatric Emergency Care.
Dr. Patrick Maloney is an author on a recently accepted publication, "Sepsis and Septic Shock" in Emergency Medicine Clinics of North America.
Dr. John Kendall is an author on 4 recently accepted publications; "Experience with Emergency Ultrasound Training by Canadian Emergency Medicine Residents: A National Survey" in the Western Journal of Emergency Medicine, "Use of Ultrasound Guidance for Central Venous Catheter Placement: Survey from the American Board of Emergency Medicine Longitudinal Study of Emergency Physicians" in Academic Emergency Medicine, "Training Peer Instructors for a Combined Ultrasound/Physical Exam Curriculum" in Teaching and Learning in Medicine, and "An Ultrasound of SMA Dissection" in the Journal of Emergency Medicine.
Dr. Stephen Wolf recently published an article entitled, "Students' Perspectives on the Fourth Year of Medical School: A Mixed-Methods Analysis in Academic Emergency Medicine.
Dr. Jennifer Bellows is a Co-Investigator on a recently awarded grant, "Creation of an Evaluation Tool to Assess the Impact of Global Health Track on Participating Medical Students" funded by the UC SOM Academic Medical Educators for $1,150.
Dr. Haukoos is an author on 5 recently accepted manuscipts, "Motor Vehicle Crash Severity Estimations by Physicians and Prehospital Personnel" in Prehospital Emergency Care (with Dr. Christopher Colwell); Validation and Comparison of PECARN, CATCH, and CHALICE Rules for Children with Minor Head Injury: A Prospective Cohort Study in Annals of Emergency Medicine (with Dr. Katie Bakes); Recruitment of Older Drivers From Primary Care Clinics for On-Road Fitness-to-Drive Testing: Results of a Pilot Study in Journal of the American Geriatrics Society; Physiologic Field Triage Criteria for Identifying Seriously Injured Older Adults in Prehospital Emergency Care; and External Validation of an Abbreviated Denver HIV Risk Score for Prediction of HIV Infection in an Urban Emergency Department in the American Journal of Emergency Medicine. Additionally, Dr. Haukoos' abstract, "Validation of the Refined Denver HIV Risk Score Using a National HIV Testing Cohort" was accepted for poster presentation at the 2014 annual Conference on Retroviruses and Opportunistic Infections. This abstract has also been accepted for oral presentation as well as the Gallery of Excellence poster exhibition at the 2014 annual Society for Academic Emergency Medicine conference in Dallas, TX.
Dr. Jody Vogel was recently awarded the 2013 Emergency Medicne Foundation Excellence in Research Award by the American College of Emergency Physicians.
Dr. Jason Haukoos recently did an interview for the AHRQ Health Care Innovations Exchange where he spoke about HIV screening in the Emergency Department. Dr. Haukoos was also recently invited to publish an editorial in JAMA entitled, "Eliminating Prevention Couseling to Improve HIV Screening" and is an author on a recently accepted publication, "Patient Age and Choice in Selecting Hospitals by 9-1-1 Emergency Medical Services Providers for Injured Patients" in Academic Emergency Medicine.
Dr. Tracy Cushing is an author on a recently accepted publication, "Core Content for Wilderness Medicine Fellowship Training of Emergency Medicine Graduates" in Academic Emergency Medicine.
Dr. Jason Haukoos was an author on a recently accepted publication, "The Cost of Over-Triage: More Than One-Third of Low-Risk Injured Patients Were Taken to Major Trauma Centers" in Health Affairs.
Dr. Haukoos is an author on 4 recently accepted publications; "Firearm Injuries in Children Served by Emergency Services" in Pediatrics, "Comparison of Bag-Valve-Mask Hand-Sealing Techniques in a Simulated Model" in Annals of Emergency Medicine, "Availability and Quality of Cardiopulmonary Resuscitation Information on the Internet for the Spanish-Speaking Population" in Resuscitation, and "Programmatic Cost Evaluation of Nontargeted Opt-Out Rapid HIV Screening in the Emergency Department" in PLoS One.
Dr. Katie Bakes was awarded a 2 year grant in September from the Department of Justice for a project entitled, "At-Risk Intervention and Mentoring (AIM)".
Dr. Jason Haukoos was an author on a recently accepted publication, "The Cost of Over-Triage: More Than One-Third of Low-Risk Injured Patients Were Taken to Major Trauma Centers" in Health Affairs.
Dr. Jody Vogel's manuscript, "Prediction of Post-Injury Multiple Organ Failure in the Emergency Department: Devleopment of the Denver Emergency Department Trauma Organ Failure Score" was accepted for publication in the Journal of Trauma in July, 2013.
Dr. Stacy Trent was awarded a grant (F32 HS022400-01) from the Agency for Healthcare Research and Quality (AHRQ) in July. Trent serves as PI, mentored by Haukoos on this project entitled, "Adherence to Clinical Practice Guidelines in the Emergency Department".
The American College of Emergency Physicians Research Forum will be held October 14-15, in Seattle, Washington. Dr. Vogel's abstract entitled, "Validation of the Denver Emergency Department Trauma Organ Failure Score to Predict Post-Injury Multiple Organ Failure" has been accepted for oral presentation.
The annual meeting of the The North American Congress of Clinical Toxicology will be held September 27-October 2 in Atlanta, Georgia. Two of Dr. Buchanan's abstracts have been accepted for poster presentation; "Baby Bites Spider: An Unusual Route of Black Widow Spider Envenomation" and "Assessment of Toxicology Knowledge in Fourth Year Medical Students: 3 Years of Data".
The American College of Emergency Physicians (ACEP) Scientific Assembly's Research Forum took place at the Colorado Convention Center, October 8-9.
Dr. Haukoos was invited to lecture at a five-day specialty course for Emergency Medicine trainees at the Karolinska Institutet in Stockholm, Sweden, October 22-26, 2012. Dr. Haukoos lectured on research methodolgies, which served to guide their research projects.
The University of Colorado School of Medicine's Academy of Medical Educators recently awarded Wolf et al. with a 2012 Rymer Endowment Small Grant for the project entitled "Medical Student Mentoring - A qualitative Analysis of Successful Mentors". The aim of this qualitative study is to describe the perceptions of outstanding medical student mentors of the components of a successful mentor-protégé relationship.
Several of the faculty at Denver Health Medical Center and the University of Colorado Denver School of Medicine presented at the SAEM 2012 Meeting in Chicago, Illinois on May 10-12.
The Agency for Healthcare Research and Quality (AHRQ) highlighted two of Dr. Jason Haukoos' recent publications in it's February 2012 edition. Summary articles were published on Haukoos et al.'s manuscripts "Operational Methods of HIV Testing in Emergency Departments: A Systematic Review" and "Validation and Refinement of a Rule to Predict Emergency Intervention in Adult Trauma Patients" . The latter of which was listed as one of Annals of Emergency Medicine's top 25 downloads from July-September 2011.
Several of our HIV-related manuscripts have recently been accepted for publication:
September 2011 - The American Journal of Epidemiology accepted Haukoos et al.'s manuscript titled "Derivation and Validation of the Denver HIV Risk Score for Targeted HIV Screening".
August 2011 - Academic Emergency Medicine accepted Haukoos et al.'s manuscript titled "Use of Kiosks and Patient Understanding of Opt-Out and Opt-In Consent for Routine Rapid HIV Screening in the Emergency Department".
August 2011 - The American Journal of Public Health accepted Sankoff et al.'s manuscript titled "Payer Status, Race, Ethnicity, and Acceptance of Free Routine Opt-out Rapid HIV Screening Among Emergency Department Patients".
Haukoos et al.'s abstract titled "Enhanced Targeted HIV Screening Using the Denver HIV Risk Score Outperforms Nontargeted Screening in the Emergency Department" has been selected for oral and poster presentations at the 2012 Conference on Retroviruses and Opportunistic Infections (CROI), to be held on March 5-8, 2012.
Two of our Emergency Medicine faculty received seed grants from the Academic Department of Emergency Medicine at the University of Colorado School of Medicine for their research. Richard Byyny, MD, MSc received funding for his project titled "A Qualitative Study of Medical Educators' Opinions on Resident Remediation". Micahel Bryer, MD received funding for his project titled "A Comparison Between the Denver Direct Observation Tool (D-DOT) and Feedback Models for Evaluation of Emergency Medicine Residents".
Dr. Jason Haukoos' research on HIV testing in the Emergency Department has been highlighted recently. In October, the Archives of Internal Medicine invited Haukoos to write a commentary titled "The Impact of Nontargeted HIV Screening in Emergency Departments and the Ongoing Need for Targeted Strategies", in response to d'Almeida et al's article titled "Modest Public Health Impact of Nontargeted Human Immunodeficiency Virus Screening in 29 Emergency Departments". Reuters has highlighted Haukoos' postion in two recent health articles: "Don't Screen Everybody for HIV in the ER: Study" and "Group Calls for HIV Screening of Teens Who Have Sex", both emphasized Haukoos' stance to investigate targeted strategies for HIV testing in the Emergency Department.
Also in October, Dr. Haukoos and colleagues were highlighted within Medscape's Emergency Medicine Best Evidence Newsletter for their publication titled "Validation and Refinement of a Rule to Predict Emergency Intervention in Adult Trauma Patients".
In July, the Annals of Emergency Medicine released a Special Supplement on HIV Screening in Emergency Departments. The CDC sponsored this issue and the following press release describes the supplement in further detail and highlights the key findings from the supplement. http://www.cdc.gov/nchhstp/newsroom/AEMPressRelease.html
Two articles in this issue present projects which originated in our department and are represented by Dr. Jason Haukoos as the lead author:
“Operational Methods of HIV Testing in Emergency Departments: A Systematic Review” and “HIV Testing in Emergency Departments in the United States: A National Survey”. In addition to these two articles, Dr. Haukoos provided an editorial to this supplement entitled “Rethinking How We Perform HIV Testing in the Emergency Department”, and was an author on a third research paper “2009 US Emergency Department HIV Testing Practices.”
Lastly, Dr. David Thompson (DHREM Class of 2011) and several of our faculty members have an article in press with Annals. “Validation of the Simplified Motor Score in the Out-of-Hospital Setting for the Prediction of Outcomes After Traumatic Brain Injury” is tentatively scheduled to be published in the November issue of Annals. In addition, this article was highlighted on the medical news website, MedPage Today (http://www.medpagetoday.com/CriticalCare/GeneralCriticalCare/27836).
Dr. Jody Vogel (DHREM Class of 2011) Receives Individual National Research Service Award (NRSA) from the National Institute of General Medical Sciences (NIGMS): This grant will support Dr. Vogel for dedicated research training where she will complete a substantive trauma project, obtain a Master of Science degree in Epidemiology from the Colorado School of Public Health, and benefit from mentorship of a diverse group of experienced scientists. The award will provide approximately $200,000 over three years. Dr. Vogel’s project will seek to validate a post-injury multiple organ failure (MOF) prediction instrument, the Denver Trauma Organ Failure (TOF) Score. Use of the Denver TOF Score may allow for: (1) selection of patients who require more aggressive, targeted resuscitation and monitoring; (2) improved resource allocation; and (3) improved secondary triage to identify patients who require care at designated tertiary-care trauma centers. Ultimately, use of this instrument may decrease the incidence of organ failure and reduce morbidity, mortality and economic burden associated with trauma.
Bonnie Kaplan, MD (PGY3 Resident) was recently awarded the 2011-2012 Emergency Medicine Foundation Resident Research Grant for a project titled "Development of a Brief Screen for Patient Prescription Drug Misuse in an Emergency Department and Urgent Care Center". Kerry Broderick, MD (Associate Professor) will serve as her primary mentor. Steve Lowenstein, MD, MPH (Professor) and Jason Haukoos, MD, MSc (Associate Professor) will serve as sub-mentors for this project.
Josh Easter, MD (Assistant Professor) has been accepted into the Clinical Faculty Scholars Program as well as the Comparative Effectiveness Research Scholars Program (K12) through the University of Colorado and Colorado Clinical and Translational Science Institute.
Jason Haukoos, MD (Associate Professor) and colleagues' research was highlighted in the American College of Emergency Physician's June 2, 2011 News Release titled "American College of Surgeons' Rule for When to Call a Surgeon for a Trauma Patient May Not Be Best". The news release was based on the findings of an article recently published by Haukoos et al. in Annals of Emergency Medicine, entitled "Validation and Refinement of a Rule to Predict Emergent Intervention in Adult Trauma Patients". American College of Emergency Physicians June 2011 News Release
The 2011 SAEM Annual Meeting was held in Boston, Massachusets, on June 1-5, 2011. Several faculty, residents and medical students from Denver Health and the University of Colorado presented their research.
SAEM Annual Meeting 2011 - Denver Health/University of Colorado Accepted Abstracts
Two of our researchers were selected as semi-finalists for awards at the 2011 SAEM Annual Meeting:
Mike Liao, MD (Research Fellow in Emergency Medicine), was a semi-finalist for best research presentation in the Fellow category for his abstract titled "Single-episode Of Hypotension And Lactate Regardless Of Age Or Infectious Etiology Are Strong Predictors Of Mortality In Emergency Department Patients With Systemic Inflammatory Response Syndrome".
David Otten (Medical Student at the University of Colorado), was a semi-finalist in the Medical Student category for his abstract titled "Comparison Of Bag-valve-mask Hand-sealing Techniques In A Simulated Model". Mr. Otten received the Medical Student Award at the Western Regional SAEM Research Forum for his presentation of this abstract. Mike Liao, MD (Research Fellow in Emergency Medicine) serves as his primary mentor.
The 2011 Western Regional SAEM Meeting was held in Keystone, Colorado, on February 24-26, 2011. The meeting was hosted by Denver Health Medical Center and The University of Colorado Denver School of Medicine.
Abstracts presented at the 2010 National Summit on HIV Diagnosis, Prevention and Access to Care, November 2010, Baltimore, MD:
Comparison of Patient Understanding of Opt-Out and Opt-In Consent for Performing Routine Rapid HIV Screening in the Emergency Department, Jason Haukoos et al.
Derivation and Validation of an Instrument to Identify Patients with HIV Infection, Jason Haukoos et al.
Evaluation of Kiosk-Based Opt-Out and Opt-In Rapid HIV Screening for Unscheduled Ambulatory Care, Emily Caruso et al.
Non-Targeted Rapid HIV Screening in the Pediatric Emergency Department, Brooke Bender et al.
Dr. Haukoos presented his HIV work at this month's AIDS Activity Meeting at Denver Public Health. The title of the presentation was "Rapid HIV Testing in Unscheduled Ambulatory Care A Year in Review and Future Directions".
Dr. Haukoos recently presented results in Vienna, Austria from an article published in JAMA, reporting findings of the Denver Emergency Department HIV Opt-Out Study, conducted to evaluate the effectiveness and efficiency of performing routine (nontargeted) opt-out rapid HIV screening in an emergency department.